多发性骨折1706例流行病学特点及相关因素分析  

Epidemiological characteristics and related factor analysis of 1706 cases of multiple fractures

作　　者：蔡玉静 李伦兰 丁晓云[3] 李贞[3] 凤林生 丁佩佩 王婷 夏晓晓[1] 陈孟孟 CAI Yu-jing;LI Lun-lan;DING Xiao-yun;LI Zhen;FENG Lin-sheng;DING Pei-pei;WANG Ting;XIA Xiao-xiao;CHEN Meng-meng(School of Nursing of Anhui Medical University,Hefei,Anhui,230601,China)

机构地区：[1]安徽医科大学护理学院,合肥230601 [2]安徽医科大学第一附属医院人力资源部,合肥230022 [3]安徽医科大学第一附属医院创伤骨科,合肥230022

出　　处：《中国骨与关节杂志》2024年第9期673-679,共7页Chinese Journal of Bone and Joint

基　　金：安徽省高校自然科学研究(KJ2020ZD18);安徽省护理学会(AHHLa202103);安徽医科大学护理学院研究生青苗培育项目(hlqm12023050)。

摘　　要：目的分析多发性骨折的流行病学特征和治疗情况,为完善多发性骨折的防治策略提供科学依据。方法收集1706例患者的年龄、性别、住院天数、住院费用、患者属地、并发症情况、文化程度、职业、致伤原因、骨折类型、内科合并症、骨折部位、术中是否输血、是否入住ICU、受伤年份等信息,采用SPSS 26.0软件进行统计学分析。结果多发性骨折发病率呈逐年上升趋势,患者主要来源于安徽省各地区,合肥市最多,车祸伤、文化程度在“小学及以下”、职业为“农民”的患者占比最高。患者平均年龄(50.1±16.1)岁,男性多于女性,好发部位前三位为胸部、脊柱、踝足,闭合性骨折患者1483例(86.9%),合并最多的内科疾病为高血压(19.1%),并发症最多的是胸部损伤(22.2%)。患者平均住院时间为(14.6±10.7)天,平均住院费用为(52532.3±57956.3)元,平均手术次数为(1.1±0.6)次。手术患者1558例中,术中异体输血229例,占手术患者总数的14.7%,149例入住ICU,占患者总数的8.7%。结论多发性骨折在年龄、性别、文化程度、致伤原因、合并症等方面均有一定的流行病学分布规律,针对高危人群因地制宜采取预防和干预措施,提高公众预防意识和能力,可有效降低发病率和死亡风险。Objective To analyze the epidemiological characteristics and treatment of multiple fractures,and provide scientific basis to improve the prevention and treatment strategies of multiple fractures.Methods The age,gender,hospital stay,hospitalization expenses,patient location,complications,education level,occupation,cause of injury,fracture type,internal medicine complications,fracture site,intraoperative blood transfusion,ICU stay,year of injury,etc.of 1706 patients were collected,SPSS 26.0 software was used for statistical analysis.Results The incidence rates of multiple fractures were on the rise year by year.The patients mainly came from various regions in Anhui Province,with the largest number in Hefei.The patients with traffic accident injury,education level of“primary school and below”,and occupation of“farmers”accounted for the highest proportion.The average age of the patients was(50.1±16.1)years old,with more males than females.The top three most common sites of incidence were the chest,spine,and ankle.There were 1483 cases(86.9%)of closed fractures,and the most common internal medicine disease was hypertension(19.1%).The most common complication was chest injury(22.2%).The average hospitalization time of the patient was(14.6±10.7)days,the average hospitalization cost was(52532.3±57956.3)yuan,and the average number of surgeries was(1.1±0.6).Among 1558 surgical patients,229 underwent allogeneic blood transfusion during surgery,accounting for 14.7%of the total number of surgical patients.149 patients were admitted to the ICU,accounting for 8.7%of the total number of patients.Conclusions Multiple fractures have certain epidemiological distributions in terms of age,gender,education level,cause of injury,complications,etc.Prevention and intervention measures should be taken for high-risk groups according to local conditions.The prevention awareness and ability should be improved,which can effectively reduce the incidence rate and death risk.

关 键 词：骨折 多处 流行病学 回顾性研究 

分 类 号：R683[医药卫生—骨科学]